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Skin & Hair Concerns
Question #20276
93 days ago
189

How i control too much hair fall ? - #20276

Laeeqa saqib

I'm 22 years old and unmarried. I got your information/detail. There's a lot of hair fall happening. During combing, a lot of hair is coming out from the roots. The hair is getting very thin. Plz tell me whats the reason behind and how I control on them also suggest me good supplement which easily available in Pakistan.

Age: 22
Chronic illnesses: There's a lot of hair fall happening. During combing, a lot of hair is coming out from the roots. The hair is getting very thin day by day. Plz tell me the reason and also suggest me some good supplements which easily available in Pakistan. Plz help me to recover my hairs.
Hair
300 INR (~3.53 USD)
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Doctors' responses

Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
93 days ago
5

Hello,

At age 22, heavy hair fall is usually due to stress, iron deficiency thyroid issues, vitamin deficiency, dandruff, genetics.

Most causes are treatable if addressed early.

🛑We have to find out the cause first

Get tests: CBC, Ferritin, Vitamin D, B12, TSH

Gentle hair care, avoid tight hairstyles & heat Eat protein-rich diet, reduce stress

🛑Supplements (Pakistan): Biotin 5000 mcg or Nutrifactor Biotin Plus / Dermazon; multivitamin with zinc. Iron only if low in test report.

If visible thinning; Minoxidil 2% can be considered

First and foremost find out the cause and treat the cause

I trust this helps Thank you

1412 answered questions
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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
93 days ago
5

Hello dear See you need to have combination of both hair gain and anti dandruff medication Iam suggesting some medication and precautions Please follow them for atleast two months. They are readily available in every country Minoxidil (2% or 5%) or rosemary oil for hair gain OTC solution to be given topically Biotin- medications for growth Ketoconazole 2% (Nizoral) – antifungal shampoo twice a day

Selenium Sulfide (Selsun Blue) – antifungal shampoo for 1 month ( twice use) Use bhringraj or onion oil gently twice a day for both massage and nourishment In case of no improvement in 1 month, consult dermatologist for better clarification . Hopefully you recover soon Regards

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Dr. Prasannajeet Singh Shekhawat
I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.
92 days ago
5

Hello Laeeqa I’m sorry to hear about your hair fall; that can be really distressing. Hair fall can happen for various reasons, including:

Possible Causes - Nutritional Deficiencies: Lack of essential vitamins and minerals, especially iron, vitamin D, and biotin. - Stress: Physical or emotional stress can lead to temporary hair loss. - Hormonal Changes: Conditions like PCOS or thyroid issues can affect hair health. - Hair Care Practices: Over-styling, harsh chemicals, or heat can damage hair.

Tips to Control Hair Fall - Balanced Diet: Include foods rich in protein (like eggs, lentils, and chicken), iron (spinach, red meat), and vitamins (fruits and vegetables). - Gentle Hair Care: Use a mild shampoo and avoid excessive heat styling. Try not to comb wet hair. - Stress Management: Engage in relaxation techniques like yoga or meditation.

Supplements Here are some supplements that are generally available in Pakistan and may help with hair health: - Biotin: Supports hair growth and strength. - Vitamin D: Important for overall health, including hair follicles. - Iron: If you’re deficient, iron supplements can help. - Omega-3 Fatty Acids: Found in fish oil, they can promote healthy hair.

Thank you

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Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
92 days ago
5

1) Ketostar shampoo Apply on your wet scalp leave for 5 mins and rinse it off use twice weekly for 4 weeks 2) Tab follihair 1 tab once daily for 6 months. 3) Tab limcee 500 1 tab twice daily for 1 month.

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Dr. Nirav Jain
I am a qualified medical doctor with MBBS and DNB Diploma in Family Medicine from NBEMS, and my work has always been centered on treating patients in a complete, not just symptom based way. During my DNB training I rotated through almost every core department—Internal medicine, Pediatrics, Obstetrics & Gynecology, Surgery, Orthopedics, ENT, Dermatology, Psychiatry, Emergency medicine. That mix gave me the skill to manage acute illness, long term disease and preventive care together, something I find very important in family practice. In psychiatry I worked closely with patients who struggled with depression, anxiety, stress related problems, insomnia or substance use. I learned not just about medication but also about simple psychotherapy tools, psycho education and how to talk openly without judgement. I still use that exp in family medicine, specially when chronic disease patients also face mental health issues. My time in General surgery included assisting in minor and major procedures, managing wounds, abscess, sutures and emergencies. While I am not a surgeon, this gave me confidence to recognize surgical cases early, provide first line care and refer fast when needed, which makes a big difference in online or OPD settings. Now I work as a consultant in General medicine and Family practice, with focus on both in-person and online consultation. I treat conditions like fever, infections, gastrointestinal complaints, respiratory illness, and also manage diabetes, hypertension, thyroid disorders, and lifestyle related chronic diseases. I see women for PCOS, contraception counseling, menstrual health, and children for common pediatric issues. I also dedicate time to preventive health, lifestyle counseling and diet-sleep-exercise advice, since these small changes affect long term wellness more than we often realize. My key skills include holistic diagnosis, evidence based treatment, chronic disease management, mental health support, preventive medicine and telemedicine communiation. At the center of all this is one thing—patients should feel heard, safe, and guided with care that is both professional and personal.
92 days ago
5

Hello Laeeqa, thank you for sharing your concern.Excessive hair fall at your age is very common and usually reversible. Most common causes are telogen effluvium (stress, illness, weight loss), iron/vitamin deficiency, hormonal imbalance (thyroid/PCOS), or early female-pattern thinning. Here is my advise-

1. Get these tests done - CBC, Serum Ferritin, Vitamin D, Vitamin B12, TSH.

2. This is the prescription - - Tab. Hairvit / Follihair / Nutrifactor Hair Skin Nails (whichever available) once daily Ă— 1 month. - If dandruff, then use Ketoconazole 2% shampoo once weekly. - Use a mild shampoo 2-3 times a week. - Oil only once weekly.

3. Avoid heat styling and tight ponytails.

4. DIET FOR HAIR- Eggs, lentils, chicken, fish. Nuts & seeds (almonds, walnuts). Fruits, green vegetables. 2–3 liters water/day.

5. See a doctor if Visible scalp widening, Irregular periods / facial hair (PCOS signs).

Review after 1 month.

Regards, Dr. Nirav Jain MBBS, DNB D.Fam.Medicine

640 answered questions
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Hair fall can be caused by a range of factors, and understanding the root cause is crucial to addressing it effectively. Common reasons include nutritional deficiencies, stress, hormonal imbalances, or genetics. Since you’re noticing significant hair loss and thinning at a young age, it’s important to consider potential factors such as the possibility of androgenetic alopecia or underlying health conditions like thyroid dysfunction or anemia. It would be advisable to have a basic health evaluation with blood tests to check for deficiencies in iron, vitamin D, vitamin B12, and potentially hormones like thyroid levels, as these are commonly associated with hair loss. In terms of dietary supplements that might help, consider biotin, zinc, and vitamin D, which are often recommended to support hair health. Since you’re in Pakistan, biotin and zinc supplements are quite readily available at pharmacies. Another supplement, Hairvit, contains vitamins and minerals that can support hair health and might be worth considering. However, keep in mind that supplements won’t resolve hair loss if the cause is unrelated to dietary insufficiencies, so it’s crucial to address the underlying issue. A balanced diet rich in whole grains, proteins, and vegetables can support overall hair health. If the hair loss is primarily stress-related, incorporating stress management techniques like yoga or meditation might prove beneficial. In case topical treatments are needed, consider consulting a dermatologist for prescription solutions like minoxidil, which can promote hair growth in some types of hair loss. Be cautious with over-the-counter products, and avoid experimenting excessively without professional guidance, especially if the cause is not clearly identified. If you notice rapid hair loss or have any symptoms like scalp irritation, it qualifies as a reason to seek immediate medical care and professional diagnosis.

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